无家可归者对艾滋病毒/艾滋病保健服务的利用情况。

HIV/AIDS health service utilization by people who have been homeless.

作者信息

Henry Randal, Richardson Jean L, Stoyanoff Susan, García Gary P, Dorey Fredrick, Iverson Ellen, King Jan B

机构信息

Community Health Outcomes and Intervention Research Program, Childrens Hospital Los Angeles, Los Angeles, CA, USA.

出版信息

AIDS Behav. 2008 Sep;12(5):815-21. doi: 10.1007/s10461-007-9282-z. Epub 2007 Aug 8.

DOI:10.1007/s10461-007-9282-z

PMID:17682939

Abstract

People living with HIV/AIDS (PLWHA) who experience homelessness have competing priorities (e.g., food, security of property) and experience complex health-related issues (e.g., co-morbidities, transportation to clinics) that may interfere with utilizing health care services. Using data from 229 PLWHA we did not find that homelessness was related to fewer or shorter clinic visits. Patients who had ever been homeless were more likely to have a case manager (74.2%) than never homeless patients (58.8%). African American patients were less likely to have a case manager (57%) as compared to other ethnicities (66%) although this was not statistically significant.

摘要

感染艾滋病毒/艾滋病（PLWHA）且无家可归的人有相互冲突的优先事项（如食物、财产安全），并面临复杂的健康相关问题（如合并症、前往诊所的交通问题），这些可能会干扰他们利用医疗服务。利用229名艾滋病毒/艾滋病感染者的数据，我们发现无家可归与较少或较短的门诊就诊次数无关。曾经无家可归的患者比从未无家可归的患者更有可能有个案管理员（74.2%对58.8%）。与其他种族（66%）相比，非裔美国患者有个案管理员的可能性较小（57%），尽管这在统计学上不显著。